ER Visit (level 5, high severity) at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$3,086.79
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$6,994.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$714.52 with Kaiser vs $6,294.60 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $714.52 | ↓ -77% |
| CHPW | Medicare|All Plans | $714.52 | ↓ -77% |
| Optum | Medicare|All Plans | $721.67 | ↓ -77% |
| BCBS - Regence | Medicare|All Plans | $735.96 | ↓ -76% |
| Aetna | Medicare|All Plans | $735.96 | ↓ -76% |
| BCBS - Premera | Medicare|All Plans | $735.96 | ↓ -76% |
| Wellcare | Medicare|All Plans | $760.33 | ↓ -75% |
| Humana | Medicare|All Plans | $764.54 | ↓ -75% |
| United | Medicare|All Plans | $771.68 | ↓ -75% |
| Molina | Medicare|All Plans | $771.68 | ↓ -75% |
| Sound Family Medicine | Commercial|All Plans | $1,429.04 | ↓ -54% |
| Molina | Commercial|Marketplace Exchange | $1,643.40 | ↓ -47% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,671.98 | ↓ -46% |
| Uniform Medical Plan | Commercial|All Plans | $1,776.24 | ↓ -42% |
| BCBS - Regence | Commercial|All Plans | $2,042.15 | ↓ -34% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,522.42 | ↓ -18% |
| Kaiser | Commercial|All Plans | $2,583.24 | ↓ -16% |
| BCBS - Premera | Commercial|All Other Plans | $2,787.29 | ↓ -10% |
| Cigna | Commercial|All Plans | $4,406.22 | ↑ +43% |
| Aetna | Commercial|AWH | $4,755.92 | ↑ +54% |
| Aetna | Commercial|Sound Health | $5,035.68 | ↑ +63% |
| First Choice | Commercial|All Plans | $5,105.62 | ↑ +65% |
| Aetna | Commercial|WEA | $5,595.20 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $5,595.20 | ↑ +81% |
| United | Commercial|Cascade Care | $5,735.08 | ↑ +86% |
| United | Commercial|All Other Plans | $5,735.08 | ↑ +86% |
| Aetna | Commercial|Rental | $6,154.72 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $6,294.60 | ↑ +104% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,095.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,272.00 | $689.62 – $2,456.96 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,339.40 | $663.63 – $1,688.93 |
| Swedish Medical Center Cherry Hill | Seattle | $1,272.00 | $689.62 – $2,366.15 |
| Swedish Issaquah | Issaquah | $1,272.00 | $691.55 – $2,456.96 |
| Central Medical Center | Seattle | $2,623.20 | $1,398.00 – $1,398.00 |
| Providence Centralia Hospital | Centralia | $2,809.56 | $689.62 – $3,143.10 |
| Providence Mount Carmel Hospital | Colville | $998.90 | not published |